Individual
FATIMA GHADIALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
806 W DIAMOND AVE, GAITHERSBURG, MD 20878-1415
(240) 498-7490
Mailing address
806 W DIAMOND AVE, GAITHERSBURG, MD 20878-1415
(240) 498-7490
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21393
MD
Other
Enumeration date
02/05/2007
Last updated
09/24/2014
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